INHIBITORS OF GLYCOGEN SYNTHASE 1 (GYS1) AND METHODS OF USE THEREOF
Provided herein are compounds of formula (I′): or a stereoisomer or tautomer thereof, or a pharmaceutically acceptable salt of any of the foregoing, wherein Y 2 , Y 3 , L 1 , L 2 , X 1 , X 2 , X 3 , X 4 , X 5 , Q 1 , R 1 , R 2 , R k , R m , and R n are as defined elsewhere herein. Also provided herein are methods of preparing compounds of formula (I′). Also provided herein are methods of inhibiting GYS1 and methods of treating a GYS1-mediated disease, disorder, or condition in an individual in need thereof.
1 . A pharmaceutical composition comprising (i) a compound of formula (I-A):
or a pharmaceutically acceptable salt of any of the foregoing, wherein:
Y 1 is CH or N;
R x and R z are independently H, halo, C 1-6 alkyl, or —NH 2 , wherein, when Y 1 is CH, the C 1-6 alkyl of R x or R z may be optionally substituted with one or more halo;
R y is (i) C 1-6 alkyl, or (ii) C 3-10 cycloalkyl, wherein the C 3-10 cycloalkyl is optionally substituted with one or more halo or C 1-6 alkyl;
R k is H, halo, —OH, —NH 2 , or —NH—C(O)C 1-6 alkyl;
R 2 is C 1-6 alkyl, wherein the C 1-6 alkyl of R 2 is substituted with one or more R a , wherein R a is —OH or 5-20 membered heteroaryl, wherein the 5-20 membered heteroaryl of R a is optionally substituted with one or more R b ; and
R b is halo, C 1-6 alkyl, C 1-6 alkoxy, —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl) 2 , C 3-10 cycloalkyl, 3-15 membered heterocyclyl, or —C(O)—C 1-6 alkoxy, wherein the C 1-6 alkyl of R b is optionally substituted with one or more halo, —NH 2 , —NH(C 1-6 alkyl), —N(C 1-6 alkyl) 2 , —NH—C(O)C 1-6 alkyl, or —NH—C(O)—C 1-6 alkoxy, and the 3-15-membered heterocyclyl of R b is optionally substituted with one or more halo or —C(O)—C 1-6 alkoxy,
wherein the moiety represented by
has a stereochemical configuration of the formula:
and (ii) one or more pharmaceutically acceptable excipients.
2 - 5 . (canceled)
6 . The pharmaceutical composition of claim 1 , wherein the moiety represented by
is selected from the group consisting of
7 . The pharmaceutical composition of claim 1 , wherein the moiety represented by
is selected from the group consisting of
8 - 36 . (canceled)
37 . The pharmaceutical composition of claim 1 , wherein R x is H, fluoro, or methyl, and R y is (i) isopropyl, or (ii) C 3-4 cycloalkyl, wherein the C 3-4 cycloalkyl is optionally substituted with one or more fluoro or methyl.
38 . The pharmaceutical composition of claim 1 , wherein R k is H or halo.
39 - 41 . (canceled)
42 . The pharmaceutical composition of claim 1 , wherein R 2 is selected from the group consisting of
43 . The pharmaceutical composition of claim 1 , wherein R 2 is
44 - 53 . (canceled)
54 . A pharmaceutical composition comprising (i) a compound selected from the group consisting of
or a pharmaceutically acceptable salt of any of the foregoing; and
(ii) one or more pharmaceutically acceptable excipients.
55 - 90 . (canceled)
91 . The pharmaceutical composition of claim 1 , wherein the compound is of formula (I-A3):
or a pharmaceutically acceptable salt of any of the foregoing, wherein
R x is H, halo, C 1-6 alkyl, or —NH 2 , wherein the C 1-6 alkyl is optionally substituted with one or more halo; and
the moiety represented by
has a stereochemical configuration of the formula:
92 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-1-(2-(1H-1,2,3-triazol-5-yl)acetyl)-4-fluoro-N—((S)-(4-isopropylphenyl)(phenyl)methyl)pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
93 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-1-(2-(1H-1,2,3-triazol-5-yl)acetyl)-4-fluoro-N—((S)-(5-isopropylpyridin-2-yl)(phenyl)methyl)pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
94 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)—N—((S)-(5-cyclopropyl-6-fluoropyridin-2-yl)(phenyl)methyl)-1-(2-(5-(difluoromethyl)-1H-tetrazol-1-yl)acetyl)-4-fluoropyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
95 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-4-fluoro-N—((S)-(3-fluoro-4-isopropylphenyl)(phenyl)methyl)-1-(2-(5-(trifluoromethyl)-1H-1,2,3-triazol-1-yl)acetyl)pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
96 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-1-(2-(1H-1,2,3-triazol-5-yl)acetyl)-4-fluoro-N—((S)-(6-fluoro-5-isopropylpyridin-2-yl)(phenyl)methyl)pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
97 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-1-(2-(1H-benzo[d]imidazol-1-yl)acetyl)-N—((S)-(4-cyclopropyl-3-fluorophenyl)(phenyl)methyl)-4-fluoropyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
98 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)—N—[(S)-[5-(3,3-difluorocyclobutyl)-6-fluoropyridin-2-yl](phenyl)methyl]-4-fluoro-1-[2-(1H-1,2,3-triazol-5-yl)acetyl]pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
99 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)—N—[(S)-[5-(3,3-difluorocyclobutyl)pyridin-2-yl](phenyl)methyl]-4-fluoro-1-[2-(1H-1,2,3-triazol-5-yl)acetyl]pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
100 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)—N—[(S)-[4-(3,3-difluorocyclobutyl)-3-fluorophenyl](phenyl)methyl]-4-fluoro-1-[2-(1H-1,2,3-triazol-5-yl)acetyl]pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
101 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-4-fluoro-N—[(S)-[3-fluoro-4-(1-methylcyclopropyl)phenyl](phenyl)methyl]-1-[2-(1H-1,2,3-triazol-5-yl)acetyl]pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
102 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-1-[2-(1H-1,3-benzodiazol-1-yl)acetyl]-4-fluoro-N—[(S)-[6-fluoro-5-(1-methylcyclopropyl)pyridin-2-yl](phenyl)methyl]pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
103 . The pharmaceutical composition of claim 1 , wherein the compound of formula (I-A) is (2S,4R)-1-(2-(5-(difluoromethyl)-1,3,4-oxadiazol-2-yl)acetyl)-4-fluoro-N—((S)-(5-isopropyl-4-methylpyridin-2-yl)(phenyl)methyl)pyrrolidine-2-carboxamide having the structure
or a pharmaceutically acceptable salt thereof.
104 . A method of treating a disease, disorder, or condition selected from the group consisting of Pompe disease, Cori disease (GSD III), adult polyglucosan body disease (APBD), and Lafora disease in an individual in need thereof, comprising administering to the individual a pharmaceutical composition of claim 1 .
105 . The method of claim 104 , wherein the disease, disorder, or condition is Pompe disease.
106 . The method of claim 104 , wherein the disease, disorder, or condition is late-onset Pompe disease.